Reviews from Our Patients

Individual results may vary.

Season of Itch

 

Do you tend to get dry, flaky, itchy skin as the weather cools down? The cold winter months can be brutal for your skin.  The main causes of skin irritation are the winter wind, dry indoor air, harsh soaps, low humidity, and cold weather sunburn.

Some conditions require visiting your dermatologists, but there are several steps you can use to prevent and treat dry, itchy skin at home.

Tip 1: MOISTURIZE- Even if you think your skin is moisturized, apply another layer. Creams tend to be more hydrating than lotions, but both are effective. Apply your moisturizer immediately after your bath or shower while your skin is still damp. It will help lock in the moisture.

 

Tip 2: Use gentle soaps and moisturizers such as Vanicream products. (fragrance free, sensitive skin, no additives)

 

Tip 3: Limit your bath or shower to 10-15 minutes and turn down the temperature to avoid drying out your skin. A hot shower feels great, but it strips your skin of its natural oils.

 

 

Tip 4: Wear lip balm. The skin on our lips is extremely thin, making them more prone to damage not only from the sun, but also extreme cold and wind. Choose a moisturizing lip balm that feels good on your lips and has SPF in it.

 

Tip 5: Be aware of the sun, even on cloudy days. The sun’s rays can cause skin damage, even in the winter months.  Did you know that the snow is a better reflector than water? It bounces 80% of the sun’s rays back to us, which is why you can still get a sun burn, even in the winter. It’s important to use a good physical sunscreen all year long, no matter what the weather is like!  Look for sunscreen that contains zinc oxide and titanium dioxide.

 

Tizo mineral sunscreens offer a wide variety of cosmetically elegant sun protection that also work as makeup primers, replenish moisture, and are offered in both tinted and non-tinted options.

 

Elta MD offers a facial sunscreen made for acne-prone skin that comes in both tinted and non-tinted options.

 

Tip 6: Hydrate yourself and your house.  Dry indoor air caused by heaters can irritate your skin.  Use a humidifier to pump moisture into the air. Don’t forget to drink water to keep your skin at the optimal hydration level. The recommended amount is 6-8 glasses daily.

 

 

Tip 7: Get your diet into the mix. A diet rich in healthy fats can help prevent dry, itchy skin. Omega- 3s are essential fatty acids that help make up your skin’s natural, moisture-retaining oil barrier. Flax, walnuts, safflower oil, tuna, herring, halibut, and salmon are all rich in Omega-3s.

 

Tip 8: Bundle up! Exposure to cold air and wind can damage the skin.  Wear gloves, scarves, and other winter accessories to reduce your skin’s exposure to the dry elements of the air.

 

 


Skin Basic Membership Event

 

Skin Basic is hosting a “Keep It Up” event.   Members will receive 25% off all store products as well as 25% off Rejuvapen and Chemical Peel Services.

The Rejuvapen is a remarkable, non-laser, non-surgical treatment that causes skin to stimulate collagen production and fresh, new tissue. We recommend a series of 4 treatments for the improvement of fine lines, acne scarring and skin texture.

Skin Basic also offers a variety of chemical peels that address multiple skin imperfections. Chemical peels can improve sun damage, acne, skin tone and texture, melasma, freckles, and dry dehydrated skin.

Stop in or call 330-758-9189 ext. 122 to get more information on the discounted treatments available for the event.

New Members Welcome.

You can also follow the link below to get detailed information about the individual peels and treatments offered at Skin Basic.

Peels & Treatments


FemiLift (FDA) – Dr. Madeline Tarrillion

U.S. Food and Drug Administration (FDA) Clearance of CO2 lasers:

Genitourinary syndrome of menopause (GSM), previously known as vulvovaginal atrophy (VVA), is a condition affecting postmenopausal women, which usually includes vaginal dryness, burning, itching, irritation, urinary incontinence, dysuria (pain with urination) and dyspareunia (pain with sexual activity). Standard therapies include vaginal moisturizers, low dose topical estrogen, and selective estrogen receptor modulators. Patient compliance can be low due to numerous factors: cost, inconvenience, method of application, safety concerns, etc. Topical estrogen is currently considered the gold standard therapy for GSM; however, patients and providers are seeking out more affordable, convenient, durable, effective, non-hormonal management options.

For years the CO2 laser has been broadly used in the field of dermatology for the treatment of skin. The CO2 laser fractional micro-ablative technology has been shown to remodel the vaginal connective tissue with the production of new collagen and elastic fibers without tissue damage, which can improve the symptoms of GSM.

On July 30th, 2018, the FDA sent out a warning against the use of energy devices (laser therapy) to perform “vaginal rejuvenation” because of worries about adverse events. Typically, the term “vaginal rejuvenation” applies to procedures that are primarily for cosmetic purposes. “Vaginal Rejuvenation” procedures are elective without a clearly defined medical purpose.

The FemiLift/Pixel CO2 laser system along with the Focusing and Pixel handpieces are cleared by the FDA under K103501 for laser “ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic surgery (dermatology and plastic surgery), podiatry, gynecology, neurosurgery, orthopedics (soft tissue), arthroscopy (knee).”

CO2 lasers are FDA-cleared as safe to use; however, they are not specifically FDA-cleared for treatment of GSM. Throughout the medical literature, therapy using CO2 lasers has been documented as an appropriate and efficacious treatment for GSM; therefore, this is currently an “off-label” use of a device. Within medicine, there are many drugs and devices that have shown to have medical benefit for “off-label” uses. More than 20% of pharmaceutical prescriptions are filled for “off-label” conditions. In addition, “off-label” use of medications and devices has often led to FDA-approval of new therapies (including the most popular class of erectile dysfunction drugs, which were initially studied as a treatment for high blood pressure and chest pain).

In a large case series by Filippini et al, 386 menopausal women with GSM were treated with 3 sessions of fractional micro-ablative CO2 laser. There was resolution of dryness in 60%, vaginal burning in 56%, dyspareunia in 49%, itching in 56%, soreness in 73%, and vaginal introital pain in 49%. These effects were reported after the first session and continued for 1 year after the final session. Most studies report only “minimal” risks, and the procedure is performed in an outpatient setting. The articles mention that most women report some slight redness, swelling, and/or “some discomfort” that disappears within 1 to 2 days. Currently on RealSelf.com, the FemiLift CO2 Pixel laser has a “Worth It” rating of 93%.

Unlike vaginal estrogen, the CO2 laser has additional benefits such as treating lichen sclerosus, potentially removing the need for chronic high-potency topical steroid use. In addition, the CO2 laser has shown promise in the treatment of overactive bladder symptoms and stress urinary incontinence. CO2 laser could create a low-risk alternative to surgery for women seeking other treatment options.

A few additional factors to consider are the specific laser and the type of provider. CO2 lasers should not be confused with radiofrequency (RF) devices, in which the energy waves are less focused and can cause more collateral damage and potential side effects. Also, seek out treatment by a board-certified physician, who can provide a thorough consultation about the risks, benefits, and side effects of this procedure. Adverse events are more likely to occur if the procedure is done in a non-medical setting by providers without enough experience in laser use.

It is important to note that the criteria for FDA device clearance are much less stringent than for drug approval, and that the clearance for the CO2 laser was as described above and not specifically indicated for use in GSM. FDA device clearance does not require the large, double-blind, randomized, placebo-controlled trials with established efficacy and safety endpoints required for the approval of new drugs. We agree with the FDA that these devices need continuing/longitudinal studies, development of clear indications, appropriately informed patients, and skilled and ethical physicians to be used safely.

This is an important time for women’s health, which has been hindered in the past by hesitance to openly address women’s reproductive and sexual health concerns. We do not want this FDA statement to limit the availability of innovative therapies, which when used correctly may benefit women’s reproductive health.

The FDA should not equate “vaginal rejuvenation” cosmetic procedures with innovative therapies that may improve women’s quality of life. The FDA was right to be looking out for women’s health, but we hope that the warning does not scare or deter women from seeking information about alternative therapies that could potentially help.

https://www.health.harvard.edu/blog/fda-warning-on-vaginal-laser-procedures-should-emphasize-informed-choices-not-fear-2018080214405
https://www.npr.org/sections/health-shots/2018/08/13/638348014/despite-fda-caution-doctors-say-lasers-may-help-with-vaginal-pain-and-dryness
http://www.poynorhealthnewyork.com/laser-rejunvenation/
https://www.realself.com/femilift
https://www.medscape.com/viewarticle/846960
https://urology.stanford.edu/content/dam/sm/urology/JJimages/publications/CO2-Laser-Treatment-is-Effective-for-Symptoms-of-Vaginal-Atrophy-No.pdf
https://www.syracuse.com/health/index.ssf/2018/08/syracuse_docs_who_provide_vaginal_rejuvenation_say_treatment_safe_despite_fdas_w.html


Our Office

Lloyd Dermatology Center

8060 Market Street
Youngstown, OH 44512

Phone: 330.758.9189Fax: 330.758.4487

Office Hours:

Monday, Wednesday
8:00 a.m. – 5:00 p.m.

Tuesday
7:00 a.m. – 5:00 p.m

Thursday
7:00 a.m. – 5:45 p.m

Friday
7:00 a.m. – 5:00 p.m